Organization
CAYUGA MEDICAL CENTER AT ITHACA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GOULD (CFO)
(607) 274-4011
Entity
Organization
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 274-4011
(607) 274-4527
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011438301
UNIVERA PROVIDER NO
NY
05
—
00332729
—
NY
01
—
365593
MVP PROVIDER NO
NY
01
—
5401001H
NYS PROVIDER OPER CERT NO
NY
Enumeration date
11/29/2006
Last updated
04/16/2025
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